A Comparison of Self-Esteem and Perfectionism in Anorexia Nervosa and Body Dysmorphic Disorder

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2014
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Thomas, Jennifer J.
Greenberg, Jennifer L.
Matheny, Natalie L.
Wilhelm, Sabine
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The Journal of Nervous and Mental Disease ; 202 (2014), 12. - pp. 883-888. - Lippincott Williams & Wilkins. - ISSN 0022-3018. - eISSN 1539-736X
Abstract
Previous studies have identified phenotypic similarities between anorexia nervosa (AN) and body dysmorphic disorder (BDD), which share the common feature of negative body image. Studies comparing endophenotypes that may cut across both disorders-as suggested by the National Institute of Mental Health's Research Domain Criteria-are limited. Sixty-nine individuals (AN, n = 24; BDD, n = 23; mentally healthy controls [MHCs], n = 22) completed diagnostic interviews and self-reports assessing self-esteem and perfectionism. Clinical groups showed greater perfectionism in almost all subdimensions as well as poorer self-esteem compared with MHCs, with no clinical group differences when controlling for level of depression. Depression was a mediator of the relationship between symptom severity and self-esteem in both clinical groups. Comparable low self-esteem and greater perfectionism in AN and BDD corroborated existing etiological models and previous studies. Depression was a significant contributor to negative self-esteem in both disorders.
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150 Psychology
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ISO 690HARTMANN, Andrea S., Jennifer J. THOMAS, Jennifer L. GREENBERG, Natalie L. MATHENY, Sabine WILHELM, 2014. A Comparison of Self-Esteem and Perfectionism in Anorexia Nervosa and Body Dysmorphic Disorder. In: The Journal of Nervous and Mental Disease. Lippincott Williams & Wilkins. 202(12), pp. 883-888. ISSN 0022-3018. eISSN 1539-736X. Available under: doi: 10.1097/NMD.0000000000000215
BibTex
@article{Hartmann2014-12Compa-55286,
  year={2014},
  doi={10.1097/NMD.0000000000000215},
  title={A Comparison of Self-Esteem and Perfectionism in Anorexia Nervosa and Body Dysmorphic Disorder},
  number={12},
  volume={202},
  issn={0022-3018},
  journal={The Journal of Nervous and Mental Disease},
  pages={883--888},
  author={Hartmann, Andrea S. and Thomas, Jennifer J. and Greenberg, Jennifer L. and Matheny, Natalie L. and Wilhelm, Sabine}
}
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    <dcterms:abstract xml:lang="eng">Previous studies have identified phenotypic similarities between anorexia nervosa (AN) and body dysmorphic disorder (BDD), which share the common feature of negative body image. Studies comparing endophenotypes that may cut across both disorders-as suggested by the National Institute of Mental Health's Research Domain Criteria-are limited. Sixty-nine individuals (AN, n = 24; BDD, n = 23; mentally healthy controls [MHCs], n = 22) completed diagnostic interviews and self-reports assessing self-esteem and perfectionism. Clinical groups showed greater perfectionism in almost all subdimensions as well as poorer self-esteem compared with MHCs, with no clinical group differences when controlling for level of depression. Depression was a mediator of the relationship between symptom severity and self-esteem in both clinical groups. Comparable low self-esteem and greater perfectionism in AN and BDD corroborated existing etiological models and previous studies. Depression was a significant contributor to negative self-esteem in both disorders.</dcterms:abstract>
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